急性肺动脉栓塞的双介入治疗

目的：探讨双介入技术在治疗下肢深静脉血栓致急性肺动脉栓塞中的价值。方法：25例下肢深静脉血栓致性肺动脉栓塞患，实施经皮穿刺下腔静脉滤过器置入术和经皮肺动脉置管溶栓治疗。结果：滤器和导管均成功安全置入，未发生相应并发症；经治疗临床症状明显改善，23例随访3－36月，无血管介入治疗的近远期并发症，无再发肺动脉栓塞，结论：下腔静脉滤器植入是预防下肢深静血栓致急性肺动脉栓塞的有效措施，双介入技术用于防治急性肺动脉栓塞是一种安全有效的方法。

Dual intervention for the treatment of acute pulmonary embolism in patients with deep venous thrombosis of lower limbs

Objective:To evaluate the efficacy of dual intervention for the treatment of acute pulmonary embolism(PE) in patients with deep venous thrombosis(DVT) of lower limbs.Methods:Twenty five patients of DVT with PE were treated with combination of transcatheter thrombolysis and inferior vena cava filter placement.Results:All the filter procedures and catheter were successfully performed,without any complication.The clinical symptoms were markedly improved in all patients.Twenty three cases were followed up for 3-36 months after dual intervention,and no complications of interventional treatment or recurrent PE was found.Conclusion:The inferior vena cava filter placement is an effect method in preventing PE.Dual interventional procedures is a superior and effective method for managing the patients with PE.